title: Endovascular treatment in two cases of bilateral ischemic stroke.
abstract: Acute bilateral intracranial large artery occlusion is a rare occurrence that can lead to bihemispheric ischemia and potentially devastating functional consequences. We discuss two cases that initially presented with unilateral symptoms and did not show signs of bilateral arterial occlusions on the initial MRI imaging. This became evident while performing the angiographic study at the beginning of the endovascular procedure. Both patients were successfully treated with bilateral mechanical thrombectomy as a complement to intravenous thrombolysis. We describe our method of simultaneous sequential bilateral thrombectomy. To our knowledge, this is the first report of successful endovascular therapy in bilateral ischemic stroke.
authors.affiliation: Service de Radiologie A, Hôpitaux Universitaires de Strasbourg, Strasbourg, France, pop.raoul@gmail.com.
authors.forename: Raoul
authors.initials: R
authors.lastname: Pop
authors.forename: Monica
authors.initials: M
authors.lastname: Manisor
authors.forename: Valerie
authors.initials: V
authors.lastname: Wolff
authors.forename: Mohamed
authors.initials: M
authors.lastname: Habashy
authors.forename: Olivier
authors.initials: O
authors.lastname: Rouyer
authors.forename: Pierre
authors.initials: P
authors.lastname: Kehrli
authors.forename: Christian
authors.initials: C
authors.lastname: Marescaux
authors.forename: Remy
authors.initials: R
authors.lastname: Beaujeux
mesh_terms: D000058:Accidental Falls; D000368:Aged; D002545:Brain Ischemia / Q000175:diagnosis* / Q000628:therapy*; D002533:Cerebral Angiography; D038524:Diffusion Magnetic Resonance Imaging; D057510:Endovascular Procedures; D005260:Female; D005343:Fibrinolytic Agents / Q000627:therapeutic use; D006801:Humans; D020521:Stroke / Q000175:diagnosis* / Q000628:therapy*; D017131:Thrombectomy; D010959:Tissue Plasminogen Activator / Q000627:therapeutic use
chemical_list: D005343:Fibrinolytic Agents; D010959:Tissue Plasminogen Activator